Coding / Revenue Cycle Specialist

3 weeks ago

Meadowbrook PA United States Redeemer Health Full time
OVERVIEW:

Joining Redeemer Health means becoming part of an inclusive, supportive team where your professional growth is valued. Our strength comes from bringing different perspectives and talent to our workforce, spanning PA & NJ. We offer programs that set up new team members for long-term success including education assistance, scholarships, and career training.  With medical and dental coverage, access to childcare & fitness facilities on campus, investment in your retirement, and community events, your career at Redeemer is more than a job.  You'll discover a commitment to quality care in a safe environment and a foundation from which you can provide and receive personalized attention.  We look forward to being a part of your professional journey.  We invite you to apply today.

SUMMARY OF JOB:

The Coding Specialist assigns diagnostic and procedural codes consistent with ICD-10 and CPT-4 guidelines, UHDDS sequencing guidelines, CMS coding guidelines, Medicare and Medicaid regulations and the American Hospital Association coding guidelines and it's publication, Coding Clinic, and AMA's publication, CPT Assistant, for assigned hospital based professional service areas of HRPAS employed practitioners.  Responsible for consistently meeting quality expectations for documentation review, coding,  and meets Redeemer Health's expected productivity standards for the position. Performs assigned duties in accordance with health system  specific coding policies and procedures.  The  Coding Specialist  will assist the assigned HRPAS hospital based providers  with instruction, feedback and documentation review in their particular specialty area.   Responsible for remaining current with latest healthcare technology and coding advice through reading available coding literature, attendance of seminars and in-services, internet research and other educational resources. Collaborates with charge entry personnel to ensure proper entry of diagnostic and billing codes in accordance with guidelines and for assigned areas and for trouble shooting any system or payor rejections for coding and/or documentation purposes.  Performs duties in support of Redeemer Health mission to ensure the highest quality of patient care in an economically sound and efficient manner.

 

CONNECTING TO MISSION:

 

All individuals, within the scope of their position are responsible to perform their job in light of the Mission & Values of the Health System.  Regardless of position, every job contributes to the challenge of providing health care.  There is an ongoing responsibility for ensuring that the values of Respect, Compassion, Justice, Hospitality, Holitisic Approach, Stewardship, and Collaboration are present in our interactions with one another and in the services we provide.

RECRUITMENT REQUIREMENTS:

   Registered Health Information Administrator or Registered Health Information Technician or equivalent experience, with a Certified Coding Specialist Certification.

·       Must have a minimum of two years of progressive coding and/or billing and registration functions in health care setting and  experience utilizing ICD-9/10-CM and CPT-4 in medical/physician specialties.. 

·       Background in Anatomy, Physiology, Clinical Medicine and Medical Terminology.  

·       A graduate of an accredited coding program with certification of completion or successful completion of college credited course work in Medical Terminology, Anatomy & Physiology and Pathophysiology/Disease Processes/Pharmacology required.

·       Works claim edits identified along with compliance of the Medicare Coverage Determinations ( MCD ), National Coverage Determination ( NCD ) as well as payer specific edits as outlined via contractual agreements particularly around coding matters and when other factors causing the edits are identified refers to proper person to ensure a clean claim is submitted. 

 

·       Serve as an information rescource and guide to clinicians, champion the need to change coding behaviors and serve as subject matter expert.

 

·       Submit any issues or trends found within documentation of a physician and/or physician extender to that provider directly or to supervisor.

 

·       Review to ensure that clinical documentation substantiates the evaluation and management, procedures and modifier selected in accordance with Federal, State and system documentation and coding requirements.

 

·       Manage and reslove Zero-Pay Worklist, Fully Worked Receivables, complete special project work, review and respond to adjustments/payment data with approval (or initiate appeal) communicate trends and root issues through proper lines of reporting

·       Requires the ability to read and interpret medical terminology and apply coding skills utilizing knowledge of anatomy, physiology and disease processes as well as procedural coding.  

·       Prior experience in coding mentorship and compliance review preferred particularly with physicians/providers. 

·       Must be detail oriented and have sound computer skills. 

·       Experience with review of electronic health records software applications.

 

 

LICENSE AND REGULATORY REQUIREMENTS:

 

Certified Coding Specialist (CCS)

 

 

 

 

EOE

EQUAL OPPORTUNITY:

Redeemer Health is an equal opportunity employer.  We prohibit discrimination in employment due to race, color, gender, religion, creed, national origin, age, sex, sexual orientation, gender identity or expression, disability veteran status or any other protected classification required by law.

  • Coding / Revenue Cycle Specialist

    4 weeks ago

    Meadowbrook, PA, United States Redeemer Health Full time

    OVERVIEW: Joining Redeemer Health means becoming part of an inclusive, supportive team where your professional growth is valued. Our strength comes from bringing different perspectives and talent to our workforce, spanning PA & NJ. We offer programs that set up new team members for long-term success including education assistance, scholarships, and career...

  • Coding / Revenue Cycle Specialist

    4 weeks ago

    Meadowbrook, PA, United States Redeemer Health Full time

    OVERVIEW: Joining Redeemer Health means becoming part of an inclusive, supportive team where your professional growth is valued. Our strength comes from bringing different perspectives and talent to our workforce, spanning PA & NJ. We offer programs that set up new team members for long-term success including education assistance, scholarships, and career...

  • Coding / Revenue Cycle Specialist

    4 weeks ago

    Meadowbrook, PA, United States Redeemer Health Full time

    OVERVIEW: Joining Redeemer Health means becoming part of an inclusive, supportive team where your professional growth is valued. Our strength comes from bringing different perspectives and talent to our workforce, spanning PA & NJ. We offer programs that set up new team members for long-term success including education assistance, scholarships, and career...

  • Coding / Revenue Cycle Specialist

    4 weeks ago

    Meadowbrook, United States Redeemer Health Full time

    OVERVIEW:Joining Redeemer Health means becoming part of an inclusive, supportive team where your professional growth is valued. Our strength comes from bringing different perspectives and talent to our workforce, spanning PA & NJ. We offer programs that set up new team members for long-term success including education assistance, scholarships, and career...

  • Coding / Revenue Cycle Specialist

    3 weeks ago

    MEADOWBROOK, United States Redeemer Health Full time

    OVERVIEW: Joining Redeemer Health means becoming part of an inclusive, supportive team where your professional growth is valued. Our strength comes from bringing different perspectives and talent to our workforce, spanning PA & NJ. We offer programs that set up new team members for long-term success including education assistance, scholarships, and career...

  • Revenue Cycle Denials And Appeals Specialist

    3 weeks ago

    Charlotte, NC, United States TEKsystems Full time

    Description:The Revenue Cycle Denials and Appeals Specialist will be responsible for building and maintaining collaborative and productive relationships within the organization relating to Revenue Cycle Management, managing revenue cycle projects, driving performance in operations related to reimbursement and providing direction and oversight of processes...

  • Revenue Cycle Denials And Appeals Specialist

    3 weeks ago

    Charlotte, NC, United States TEKsystems Full time

    Description:The Revenue Cycle Denials and Appeals Specialist will be responsible for building and maintaining collaborative and productive relationships within the organization relating to Revenue Cycle Management, managing revenue cycle projects, driving performance in operations related to reimbursement and providing direction and oversight of processes...

  • Coding Specialist

    4 weeks ago

    Bellair-Meadowbrook Terrace, Florida, United States Redeemer Health Full time

    Job Summary:Redeemer Health is seeking a skilled Coding Specialist to join our team. As a Coding Specialist, you will be responsible for assigning diagnostic and procedural codes consistent with ICD-10 and CPT-4 guidelines, sequencing guidelines, CMS coding guidelines, Medicare and Medicaid regulations, and the American Hospital Association coding...

  • Director of Revenue Cycle

    2 weeks ago

    Fort Myers, FL, United States Orthopedic Specialists of SW Florida Full time

    Join Orthopedic Specialists of SW Florida as Director of Revenue Cycle Operations, where you will play a crucial role in overseeing and optimizing the operational aspects of our Billing Department. With a focus on the oversight of the revenue cycle to maximize revenue utilizing the most innovative and effective processes  About OSSWF:Orthopedic Specialists...

  • Collections Specialist

    4 weeks ago

    United, PA, United States Tobii DynaVox Full time

    At Tobii Dynavox, we empower individuals with disabilities to achieve their goals and pursue independence. Our Funding Team plays a crucial role in making this impact possible by navigating the complex landscape of healthcare financing.The Collections Specialist supports the effective management of the revenue cycle process, ensuring the accurate and timely...

  • Revenue Cycle Manager

    3 weeks ago

    Richmond, VA, United States James River Home Health & Hospice Full time

    James River Home Health is growing and needs YOU! We are actively seeking a Revenue Cycle Manager to join our growing team at our corporate office! You will be responsible for overseeing revenue cycle management including coding, authorization, medical records, Quality Assurance, billing, collections, and denial management as well as financial reporting...

  • Revenue Cycle Manager

    1 week ago

    San Antonio, TX, United States Nearterm Corporation Full time

    Are you an experienced healthcare revenue cycle leader that is ready to make a huge impact and put your stamp on the revenue cycle department? Are you an expert at bringing revenue cycle inhouse from an outsourced billing company? Do you thrive in a patient centric culture that provides long term stability to staff? Do you thrive working on-site? Do you like...

  • Lead Coding Specialist

    2 days ago

    Peoria, IL, United States OSF HealthCare Full time

    Overview: Expected pay for this position is $29.01/hour. Actual pay will be determined by experience, skills and internal equity. POSITION SUMMARY: The Lead Coding Specialist oversees the coordination of accurate and compliant coding and charging to ensure adherence to established current ICD codes and CPT/HCPCS coding guidelines along with all...

  • Clinical Revenue Cycle Manager

    2 weeks ago

    Charlottesville, VA, United States Insight Global Full time

    Key Responsibilities: Revenue Cycle Management: Oversee all aspects of the revenue cycle, including patient registration, insurance verification, charge capture, coding, billing, and collections. Compliance: Ensure compliance with federal, state, and local regulations, as well as internal policies and procedures.Process Improvement: Identify and implement...

  • Director of Revenue Cycle

    2 weeks ago

    Edgerton, WI, United States H&H Leadership Solutions Full time

    Interim Director of Revenue Cycle at Edgerton Hospital and Health Services in Edgerton, WIH&H Leadership Solutions invites you to explore the outstanding opportunity with Edgerton Hospital and Health Services. This Interim Director of Revenue Cycle will be for a contract term of 90-180 days. With a range of services - from emergency care to diagnostic...

  • Lead Coding Specialist

    3 weeks ago

    Peoria, IL, United States OSF HealthCare Full time

    Overview:Find out exactly what skills, experience, and qualifications you will need to succeed in this role before applying below.Expected pay for this position is $29.01/hour. Actual pay will be determined by experience, skills and internal equity.POSITION SUMMARY:The Lead Coding Specialist oversees the coordination of accurate and compliant coding and...

  • Director of Revenue Cycle Management

    2 weeks ago

    Charlotte, NC, United States Kare Partners Full time

    Role: Director of Revenue Cycle Management (RCM)Overview: Kare Partners is seeking a highly experienced and strategic Director of Revenue Cycle Management (RCM) to lead and optimize the company’s revenue cycle operations. This individual will be responsible for overseeing all aspects of RCM, ensuring efficient processes, and driving revenue growth....

  • Revenue Cycle Trainer

    2 weeks ago

    Phoenix, AZ, United States American Vision Partners Full time

    At American Vision Partners (AVP), we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible. Our practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center, Retinal...

  • Revenue Cycle Manager

    2 weeks ago

    Kenai, AK, United States Nearterm Corporation Full time

    Are you an experienced healthcare revenue cycle leader that is ready for the next step in your career? Do you thrive in a family oriented environment? Do you like quarterly bonus potential? Do you thrive working on-site? Looking for work life balance with a 40 hour/week role? If so, then we want to meet with YOU! Our client is an established healthcare...

  • Revenue Cycle Specialist

    3 weeks ago

    Farmington, CT, United States TEKsystems Full time

    Revenue Cycle Specialist A Remote RCM Specialist (Must be within commutable distance to Farmington, CT) with one of Connecticut’s most well-established and renowned health systems. This is a 6-month contract-to-hire opportunity offering long-term and permanent stability with an organization that focuses on the growth and career advancement of its...